Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.37 / $58.42 / $105.99	Facility	26	$31.37	$58.42	$105.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $136.13 / $585.14	Professional		$102.73	$136.13	$585.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $44.91 / $164.00	Professional	26	$27.82	$44.91	$164.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.76 / $95.68 / $182.00	Professional	TC	$71.76	$95.68	$182.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $83.21 / $100.37	Professional		$63.88	$83.21	$100.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.02 / $28.78 / $55.85	Professional	26	$23.02	$28.78	$55.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $86.50 / $108.12	Professional		$64.87	$86.50	$108.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.93 / $23.91 / $29.89	Professional	26	$17.93	$23.91	$29.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.94 / $62.58 / $78.23	Professional	TC	$46.94	$62.58	$78.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $34.36 / $34.36	Facility	26	$34.36	$34.36	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $127.23 / $198.65	Professional		$78.06	$127.23	$198.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $36.68 / $58.46	Professional	26	$25.80	$36.68	$58.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.47 / $88.07 / $144.80	Professional	TC	$52.47	$88.07	$144.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $136.22 / $136.22 / $136.22	Facility	26	$136.22	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $123.82 / $654.87	Professional		$85.46	$123.82	$654.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.84 / $33.77 / $217.94	Professional	26	$30.84	$33.77	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.48 / $90.05 / $461.63	Professional	TC	$59.48	$90.05	$461.63
United Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $119.02 / $201.01	Professional		$85.46	$119.02	$201.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.78 / $32.58 / $54.60	Professional	26	$30.78	$32.58	$54.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.27 / $85.17 / $136.22	Professional	TC	$42.27	$85.17	$136.22